Get Tuberculin Examination Report Form

Filling out the Tuberculin Examination Report Form online can seem challenging, but with clear guidance, it becomes a manageable task. This comprehensive guide will walk you through each section of the form, ensuring that all necessary information is accurately provided.

Follow the steps to complete your Tuberculin Examination Report Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in your personal details at the top of the form, including your last name, first name, middle initial, date of birth, student ID (SID), phone number, and email address.
3. Provide comprehensive health background information, beginning with the two-step TB skin test procedure. Remember to attach the official screening of TB/vaccine preventable diseases form as required.
4. For immunizations, ensure to attach proof of vaccination. Fill in the Varicella vaccination date and indicate the titer results, attaching the necessary lab reports as well.
5. Complete the sections for other vaccinations such as Tdap, MMR, Rubeola, Rubella, Mumps, and Hepatitis B. For each, specify the titer results and confirm immune status by checking the respective boxes.
6. Indicate the date of your physical exam and provide information regarding any past health issues, specifically back problems or restrictions on lifting, by checking yes or no.
7. Once all sections are completed, ensure that a health care provider examines the information. They will need to sign and provide their address in the designated space.
8. After reviewing all your entries for accuracy, you can save changes, download, print, or share the completed form as necessary.

Start filling out your Tuberculin Examination Report Form online today and ensure all required health documentation is prepared!